Michaela Holly Fox, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5865 Issued in NC

Practice address

215 N 35TH St Ste 1
Morehead City, NC 28557-3186

Phone

(252) 207-0545

NPI assigned

Aug 19, 2015

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. Michaela Holly Putnam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark Besen PHD Psychological Services PLLC

  • Clinical Social Worker
  • Morehead City, NC
  • NPI 1740754795
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1245606748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 35TH ST STE 1",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573186",
            "telephone_number": "252-207-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 35TH ST STE 1",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573186",
            "telephone_number": "252-207-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Old Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573167",
            "country_code": "US",
            "telephone_number": "517-420-0196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "MICHAELA",
        "middle_name": "HOLLY",
        "name_prefix": "Mrs.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5865",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "BACB360931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELA",
            "last_name": "PUTNAM",
            "middle_name": "HOLLY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Flippin, PHARMD
• Thomas Flynn
• Katherine McGrath Fogle, NP-C
• Jessica Lynn Foley, PA-C
• Robert Wesley Ford
• Brooke Ashley Franks-Jacobucci
• Earl A Frantz, D.O.
• Freedom Medical Equipment
• Stephen Arthur Freeman, PT
• Friendly Caregivers

• Psychologist in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.